NYCTCM SA 1

...a method to ID the nature & location of a Dx & the internal relationships among the different Sx by means of comprehensive analyzing of clinical info collected fr the four diagnostic methods- make TCM dx on basis of differentiation of syndromes.

Interior- fever WITHOUT aversion to coldOR aversion to cold WITHOUT fever.

Main Points in distinguishing Exterior and Interior Syndromes:

Tongue:

Exterior- unchanged.

Interior- changes in the tongue coating caused by the dysfunction of some zangfu organs.

Pulse:

Exterior- superficial.

Interior- deep.

Relationship btw Exterior and Interior Syndromes:

Both Ext and Int being affected simultaneously.

Transmission of pathogenic factors from Exterior to Interior- aggravation.

Transmission of pathogenic factors from Interior to Exterior- alleviation.

Cold and Heat:

Cold and Heat are the principles used to differeniate the NATURE of a disease. The syndromes of cold and heat reflect the predominance and discomfort of Yin and Yang of the body.

Yin in predominance is a Cold Syndrome.

Yang in predominance if a Heat Syndrome.

Cold Syndrome:

Cold Syndrome (han zheng) refers to pathological conditions which result from the invasion of exogenous pathogenic coldOR accumulation of Cold Nature pathological productsOR from Def of Yang in the body.

b. Cold in the Upper and Heat in the Lower. (This shows Cold in the ST and Heat in the BL).

c. Ext-Cold and Int-Heat. (These are often 2' Interior Heat constitution being attacked by exogenous Wind-Cold).

d. Ext-Heat and Int-Cold. (It is seen in cases of Int-Cold, yet complicated by invasion of exogenous pathogenic Wind-Heat, OR cases of Ext-Heat which are affected by Cold after taking too much Rx of Cold Nature that damages the SP and ST).

Wants to cover up body in spite of fever, prefers warm drinks in spite of great thirst, has full but forceless pulse, cold limbs, clear urine, loose stools, and pale tongue with white coating= TRUE COLD.

True and False Phenomena in Cold & Heat Syndromes:
Main points for distinguishing True or False Cold and Heat:

The False Phenomena-- Four Limbs, Skin and Hair, or Complexion.

The Nature of a Disease-- ZangFu Organs, Qi & Blood, & Body Fluids.

The Tongue and Pulse are the most important for differentiation.

True and False Phenomena in Cold & Heat Syndromes:
Main points for distinguishing True or False Cold and Heat:

The Flushed face of

False Heat: in the cheeks=light pink, appearing superficially and intermittantly.

True Heat: Red all over the face.

The Cold Limbs in

FALSE COLD: absence of desire for warmth; a hot sensation in the chest and abdomen.